Article: Bradykinin and high glucose promote renal tubular inflammation

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TitleBradykinin and high glucose promote renal tubular inflammation
AuthorsTang, SCW1
Chan, LYY1
Leung, JCK1
Cheng, AS1
Chan, KW1
Lan, HY1
Lai, KN1
KeywordsBradykinin
Chemokines
Diabetic nephropathy
High glucose
Kallirein
Issue Date2010
PublisherOxford University Press. The Journal's web site is located at http://ndt.oxfordjournals.org/
CitationNephrology Dialysis Transplantation, 2010, v. 25 n. 3, p. 698-710 [How to Cite?]
DOI: http://dx.doi.org/10.1093/ndt/gfp599
AbstractBackground. The role of the kallikrein-kinin system in diabetic nephropathy remains controversial.Methods and Results. High-glucose (HG) super-induced interleukin (IL)-6, CCL-2, transforming growth factor (TGF)-β, vascular endothelial growth factor (VEGF) and B2K receptor (B2KR) mRNA in cultured proximal tubular epithelial cells (PTEC), whereas bradykinin (BK) upregulated IL-6, CCL-2 and TGF-β mRNA. HG activated mitogen-activated protein kinase (MAPK) p42/p44 and protein kinase C (PKC) signals, whereas BK only activated MAPK. Tubular expression of these mediators and tissue kallikrein 1 (KLK1) was confirmed in human diabetic kidney biopsies. Inhibition of MAPK p42/p44 by PD98059 partially reduced HG and BK induction of IL-6, CCL-2 and TGF-β, whereas inhibition of PKC by staurosporine partially reduced HG-but not BK-induced overexpression of these cytokines and that of VEGF. Staurosporine and PD98059 synergistically reduced the effect of HG on IL-6, CCL-2 and TGF-β expression. The B2KR blocker, icatibant, downregulated BK-and HG-induced MAPK p42/p44 but not HG-induced PKC activation and partially reduced both HG-and BK-induced IL-6, CCL-2 and TGF-β secretion. HG stimulated expression of KLK1 and low-molecular-weight kininogen (LMWK) and its downstream effects were attenuated by aprotinin (tissue kallikrein inhibitor). The peroxisome proliferator-activated receptor-γ (PPAR-γ) agonist, rosiglitazone, attenuated HG-induced PKC but not HG-or BK-induced MAPK p42/44 activation and reduced HG-stimulated VEGF, along with IL-6, CCL-2 and TGF-β secretion. Rosiglitazone plus icatibant further reduced these effects of HG.Conclusions. In conclusion, HG stimulates tubular proinflammatory, profibrotic and angiogenic signals, which is partly mediated through BK via MAPK signalling and partly through PKC independent of BK. The potential therapeutic role of complementary B2KR blockade and PPAR-γ activation deserves clinical investigation.
ISSN0931-0509
2011 Impact Factor: 3.396
2011 SCImago Journal Rankings: 0.277
DOIhttp://dx.doi.org/10.1093/ndt/gfp599
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorTang, SCW
dc.contributor.authorChan, LYY
dc.contributor.authorLeung, JCK
dc.contributor.authorCheng, AS
dc.contributor.authorChan, KW
dc.contributor.authorLan, HY
dc.contributor.authorLai, KN
dc.date.accessioned2010-08-12T04:36:57Z
dc.date.available2010-08-12T04:36:57Z
dc.date.issued2010
dc.description.abstractBackground. The role of the kallikrein-kinin system in diabetic nephropathy remains controversial.Methods and Results. High-glucose (HG) super-induced interleukin (IL)-6, CCL-2, transforming growth factor (TGF)-β, vascular endothelial growth factor (VEGF) and B2K receptor (B2KR) mRNA in cultured proximal tubular epithelial cells (PTEC), whereas bradykinin (BK) upregulated IL-6, CCL-2 and TGF-β mRNA. HG activated mitogen-activated protein kinase (MAPK) p42/p44 and protein kinase C (PKC) signals, whereas BK only activated MAPK. Tubular expression of these mediators and tissue kallikrein 1 (KLK1) was confirmed in human diabetic kidney biopsies. Inhibition of MAPK p42/p44 by PD98059 partially reduced HG and BK induction of IL-6, CCL-2 and TGF-β, whereas inhibition of PKC by staurosporine partially reduced HG-but not BK-induced overexpression of these cytokines and that of VEGF. Staurosporine and PD98059 synergistically reduced the effect of HG on IL-6, CCL-2 and TGF-β expression. The B2KR blocker, icatibant, downregulated BK-and HG-induced MAPK p42/p44 but not HG-induced PKC activation and partially reduced both HG-and BK-induced IL-6, CCL-2 and TGF-β secretion. HG stimulated expression of KLK1 and low-molecular-weight kininogen (LMWK) and its downstream effects were attenuated by aprotinin (tissue kallikrein inhibitor). The peroxisome proliferator-activated receptor-γ (PPAR-γ) agonist, rosiglitazone, attenuated HG-induced PKC but not HG-or BK-induced MAPK p42/44 activation and reduced HG-stimulated VEGF, along with IL-6, CCL-2 and TGF-β secretion. Rosiglitazone plus icatibant further reduced these effects of HG.Conclusions. In conclusion, HG stimulates tubular proinflammatory, profibrotic and angiogenic signals, which is partly mediated through BK via MAPK signalling and partly through PKC independent of BK. The potential therapeutic role of complementary B2KR blockade and PPAR-γ activation deserves clinical investigation.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationNephrology Dialysis Transplantation, 2010, v. 25 n. 3, p. 698-710 [How to Cite?]
DOI: http://dx.doi.org/10.1093/ndt/gfp599
dc.identifier.citeulike6185871
dc.identifier.doihttp://dx.doi.org/10.1093/ndt/gfp599
dc.identifier.epage710
dc.identifier.hkuros174356
dc.identifier.isiWOS:000274987800012
Funding AgencyGrant Number
Research Grants Council of Hong KongHKU 7764/07M
Funding Information:

This work was supported by the Research Grants Council (General Research Fund ref HKU 7764/07M) of Hong Kong. Part of the data contained in this study was presented in abstract form at the American Society of Nephrology Annual Meeting and Scientific Exposition, November 6-9, 2008, Philadelphia, PA, USA. Icatibant was a kind gift from Sanofi-Aventis Deutschland GmbH. Rosiglitazone was a kind gift from GlaxoSmithKline (Compound Management Division, Stevenage, Herts, UK).

dc.identifier.issn0931-0509
2011 Impact Factor: 3.396
2011 SCImago Journal Rankings: 0.277
dc.identifier.issue3
dc.identifier.openurl
dc.identifier.pmid19923143
dc.identifier.scopuseid_2-s2.0-77649226697
dc.identifier.spage698
dc.identifier.urihttp://hdl.handle.net/10722/65486
dc.identifier.volume25
dc.languageeng
dc.publisherOxford University Press. The Journal's web site is located at http://ndt.oxfordjournals.org/
dc.publisher.placeUnited Kingdom
dc.relation.ispartofNephrology Dialysis Transplantation
dc.relation.referencesReferences in Scopus
dc.rightsNephrology, Dialysis, Transplantation. Copyright © Oxford University Press.
dc.rightsThis is a pre-copy-editing, author-produced PDF of an article accepted for publication in Nephrology, Dialysis, Transplantation following peer review.
dc.subject.meshBradykinin - physiology
dc.subject.meshDiabetic Nephropathies - pathology - physiopathology
dc.subject.meshGlucose - physiology
dc.subject.meshHyperglycemia - physiopathology
dc.subject.meshKidney Tubules, Proximal - pathology - physiopathology
dc.subjectBradykinin
dc.subjectChemokines
dc.subjectDiabetic nephropathy
dc.subjectHigh glucose
dc.subjectKallirein
dc.titleBradykinin and high glucose promote renal tubular inflammation
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong